Organization Active NPI

Kevin M Healey DPM Dba Ankle & Foot Assoc of No Jersey

  • Durable Medical Equipment & Medical Supplies
  • Clifton, NJ
National Provider Identifier
1598938524
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MD01387 Issued in NJ
Legal business name
KEVIN M HEALEY DPM DBA ANKLE & FOOT ASSOC OF NO JERSEY
Practice address
152 Lakeview Ave
Clifton, NJ 07011-4021
Phone
(973) 340-8970
Fax
(973) 340-8632
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Mark Healey, DPMNPI 1265464515
Title
Sole.Prop
Phone
(973) 340-8970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MD01387 NJ Primary

Addresses

Primary practice location

152 Lakeview Ave
Clifton, NJ 07011-4021

Mailing address

152 Lakeview Ave
Clifton, NJ 07011-4021
Phone (973) 340-8970

Other identifiers 1

IdentifierTypeStateIssuer
3227308MedicaidNJ

National Provider Directory

National Provider Directory

Locations

152 Lakeview Ave
Clifton, NJ 07011
Phone (973) 340-8970

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1598938524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114021",
            "telephone_number": "973-340-8970",
            "fax_number": "973-340-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114021",
            "telephone_number": "973-340-8970",
            "fax_number": "973-340-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M HEALEY DPM DBA ANKLE & FOOT ASSOC OF NO JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "SOLE.PROP",
        "authorized_official_telephone_number": "973-340-8970",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "MD01387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3227308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.